Hong Kong Journal of Occupational Therapy (Jun 2018)

Orthotic management of fixed flexion deformity of the proximal interphalangeal joint following traumatic injury: A systematic review

  • Nicole Young,
  • Nichola Terrington,
  • Diana Francis,
  • Luke S Robinson

DOI
https://doi.org/10.1177/1569186118764067
Journal volume & issue
Vol. 31

Abstract

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Background/objective Fixed flexion deformity of the proximal interphalangeal joint can commonly occur following a traumatic injury impacting on hand function and occupational performance. Numerous interventions have been proposed for fixed flexion deformity resolution. This paper investigates the efficacy of static or dynamic orthoses in reducing fixed flexion deformity contracture following traumatic proximal interphalangeal joint injury. Methods A multi-database search of three databases (CINAHL, EMBASE, MEDLINE) was conducted. Data extracted for each study were design, patient descriptions, degree of fixed flexion deformity pre- and post-orthoses, and prescribed interventions and exercise programmes. Results The search yielded 643 studies, of which eight met the inclusion criteria. Studies used heterogeneous methodologies investigating various orthotic interventions. Meta-analysis or pooling of results was not possible. Dissimilar orthotic wear regimes were noted in all studies and an alternative clinical significance outcome was found. Conclusion More research is required to support clinical reasoning in orthotic choice for fixed flexion deformity of the proximal interphalangeal joint post-traumatic injury.